title: Glutamate receptor GluR3 antibodies and death of cortical cells.
abstract: Rasmussen's encephalitis (RE), a childhood disease characterized by epileptic seizures associated with progressive destruction of a single cerebral hemisphere, is an autoimmune disease in which one of the autoantigens is a glutamate receptor, GluR3. The improvement of some affected children following plasma exchange that removed circulating GluR3 antibodies (anti-GluR3) suggested that anti-GluR3 gained access to the central nervous system where it exerted deleterious effects. Here, we demonstrate that a subset of rabbits immunized with a GluR3 fusion protein develops a neurological disorder mimicking RE. Anti-GluR3 IgG isolated from serum of both ill and healthy GluR3-immunized animals promoted death of cultured cortical cells by a complement-dependent mechanism. IgG immunoreactivity decorated neurons and their processes in neocortex and hippocampus in ill but not in healthy rabbits. Moreover, both IgG and complement membrane attack complex (MAC) immunoreactivity was evident on neurons and their processes in the cortex of a subset of patients with RE. We suggest that access of IgG to epitopes in the central nervous system triggers complement-mediated neuronal damage and contributes to the pathogenesis of both this animal model and RE.
authors.affiliation: Division of Neurology, Department of Medicine, Duke University Medical Center, Durham, North Carolina 27710, USA.
authors.forename: X P
authors.initials: XP
authors.lastname: He
authors.forename: M
authors.initials: M
authors.lastname: Patel
authors.forename: K D
authors.initials: KD
authors.lastname: Whitney
authors.forename: S
authors.initials: S
authors.lastname: Janumpalli
authors.forename: A
authors.initials: A
authors.lastname: Tenner
authors.forename: J O
authors.initials: JO
authors.lastname: McNamara
mesh_terms: D000818:Animals; D001323:Autoantibodies / Q000502:physiology*; D001327:Autoimmune Diseases / Q000276:immunology / Q000473:pathology; D016923:Cell Death / Q000502:physiology; D002540:Cerebral Cortex / Q000473:pathology / Q000503:physiopathology*; D015938:Complement Membrane Attack Complex / Q000032:analysis; D003165:Complement System Proteins / Q000502:physiology; D004660:Encephalitis / Q000276:immunology / Q000473:pathology; D017029:Epilepsy, Complex Partial / Q000276:immunology / Q000473:pathology; D006801:Humans; D007114:Immunization; D007074:Immunoglobulin G / Q000032:analysis / Q000276:immunology / Q000502:physiology; D008297:Male; D009474:Neurons / Q000276:immunology / Q000502:physiology*; D011817:Rabbits; D017470:Receptors, Glutamate / Q000276:immunology*
chemical_list: D001323:Autoantibodies; D015938:Complement Membrane Attack Complex; D007074:Immunoglobulin G; D017470:Receptors, Glutamate; D003165:Complement System Proteins